Swift River Fundamentals Exam V1
(Latest Update )
Questions and Answers | Grade A |
100% Correct (Verified Solutions)
Question:
Jody Rush Room 301
Jody Rush, 20 y/o female, admitted for right femur fracture status post skiing
accident. She is in a traction splint and will be going for surgical repair today.
Vital signs are BP: 120/62, P:88, R: 20, T: 98.9 F, 37.2 C, PaO2: 99. She has
been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for
pain. She was nauseated after her last Fentanyl dose, and the Provider ordered
an additional 4mg IVP, Zofran. She has a history of exercise induced asthma,
and uses a rescue inhaler, Albuterol. Her parents are on their way; they are
flying in today. She was on a ski trip with some of her friends from college; her
best friend has been camped out with her. We were able to get her on a bed
pan earlier, but it took a lot of work. We just received an order for a foley
catheter. There was some concern that she may have sustained a head injury
as she has an abrasion to her forehead. She deni
Answer:
Anxiety
Gas exchange
Perfusion, risk for
,Question:
Dotty Hamilton Room 302
Dotty Hamilton 52 y/o female who has been admitted for bariatric surgery.
She has arrived at 0600 and is scheduled for a laparoscopic Roux-en-Y gastric
bypass (RYGB). She is super morbidly obese with a BMI of 52, Ht, 5'3", Wt,
293lbs. She has well-controlled hypertension with Losartan (Cozaar) 50 mg q
daily. She also takes Metformin to control her Type 2 Diabetes. She has sleep
apnea, and she brought her CPAP machine. She is very excited about the
surgery but is also apprehensive. A friend told her that the complication rate
for this surgery is very high. She believes this surgery is her only hope, as she
says she has tried everything else to lose weight. Her husband is with her and
seems to be very supportive. Body Mass Index (BMI) = kg/m2, where kg is a
person's weight in kilograms and m2 is their height in meters squared. A BMI
of 25.0 or more is overweight, while the healthy range is 18.5
Answer:
Anxiety
Glucose regulation
Nutrition
Question:
Kathy Gestalt Room 303
Kathy Gestalt, 33yr-old, Dx- second-day post-op open right Tibia/Fibula
fracture, plaster cast in place on the right lower leg. No known allergies. Vital
signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Neuro WNL, alert and
cooperative but worried about scarring and is reluctant regarding walking on
leg. Diet as tolerated, up ad-lib after gait training. Crutches at bedside
adjusted for height. Dr. Anderson
,Answer:
Mobility
Pain
Safety (cast, crutches)
Question:
Hildegard Lowe Room 304
Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER
after coughing for the last 2 months. Patient is alert and cooperative, visually
limited and declining. She is on Oxygen at 2L. She has an IV 0.9 normal
saline, 125 an hour. Chest x-ray upon admission showed right middle lobe
pneumonia. Vital signs are BP: 128/86, P: 105, R: 32, T: 99.8 F, 37.7 C, SaO2:
93%. Plan of care is antibiotic therapy, incentive spirometry, O2
supplementation, and pending labs and blood cultures from the ER. Patient
is receiving Rocephin and received Zithromax in the ER. Patient does have a
history of Granulomatosis with Polyangiitis but has been stable for 5 years
w/o treatment. She is widowed and came to us from the retirement
community. She has one daughter who is on her way from out of state; she
will be arriving sometime today. Patient states she is allergic to mangos.
Answer:
Gas exchange
Infection
Sensory perception (visually impaired)
, Question:
Charlie Raymond Room 305
Charlie Raymond, 65-year-old male who was admitted to a negative pressure
room on Med-Surg for COVID precautions. He has a history of COPD,
hypertension, diabetes type II, and a recent myocardial infarction. He is a
retired postal worker who lives at home with his wife. He is on Claforan
(cefotaxime) 2 g IV BID hr and sliding scale insulin. Initially this cardiologist
was concerned about congestive heart failure and Mr. Raymond is receiving
Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Vital Signs:
BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature 100.2
SaO2 94% on 2L nasal cannula. The patient/family is fearing the worst due to
COVID-19 Pandemic.
Answer:
Gas exchange
Infection
Perfusion
Metabolism (diabetes)
Question:
Dotty Hamilton Scenario 1
Mrs. Hamilton is excited about her surgery. During the admission process,
you ask the patient if she has an advance directive; she answers yes.
Answer:
Ask for a copy of the advance directive
Ask the patient when the advance directive was last updated
(Latest Update )
Questions and Answers | Grade A |
100% Correct (Verified Solutions)
Question:
Jody Rush Room 301
Jody Rush, 20 y/o female, admitted for right femur fracture status post skiing
accident. She is in a traction splint and will be going for surgical repair today.
Vital signs are BP: 120/62, P:88, R: 20, T: 98.9 F, 37.2 C, PaO2: 99. She has
been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for
pain. She was nauseated after her last Fentanyl dose, and the Provider ordered
an additional 4mg IVP, Zofran. She has a history of exercise induced asthma,
and uses a rescue inhaler, Albuterol. Her parents are on their way; they are
flying in today. She was on a ski trip with some of her friends from college; her
best friend has been camped out with her. We were able to get her on a bed
pan earlier, but it took a lot of work. We just received an order for a foley
catheter. There was some concern that she may have sustained a head injury
as she has an abrasion to her forehead. She deni
Answer:
Anxiety
Gas exchange
Perfusion, risk for
,Question:
Dotty Hamilton Room 302
Dotty Hamilton 52 y/o female who has been admitted for bariatric surgery.
She has arrived at 0600 and is scheduled for a laparoscopic Roux-en-Y gastric
bypass (RYGB). She is super morbidly obese with a BMI of 52, Ht, 5'3", Wt,
293lbs. She has well-controlled hypertension with Losartan (Cozaar) 50 mg q
daily. She also takes Metformin to control her Type 2 Diabetes. She has sleep
apnea, and she brought her CPAP machine. She is very excited about the
surgery but is also apprehensive. A friend told her that the complication rate
for this surgery is very high. She believes this surgery is her only hope, as she
says she has tried everything else to lose weight. Her husband is with her and
seems to be very supportive. Body Mass Index (BMI) = kg/m2, where kg is a
person's weight in kilograms and m2 is their height in meters squared. A BMI
of 25.0 or more is overweight, while the healthy range is 18.5
Answer:
Anxiety
Glucose regulation
Nutrition
Question:
Kathy Gestalt Room 303
Kathy Gestalt, 33yr-old, Dx- second-day post-op open right Tibia/Fibula
fracture, plaster cast in place on the right lower leg. No known allergies. Vital
signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Neuro WNL, alert and
cooperative but worried about scarring and is reluctant regarding walking on
leg. Diet as tolerated, up ad-lib after gait training. Crutches at bedside
adjusted for height. Dr. Anderson
,Answer:
Mobility
Pain
Safety (cast, crutches)
Question:
Hildegard Lowe Room 304
Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER
after coughing for the last 2 months. Patient is alert and cooperative, visually
limited and declining. She is on Oxygen at 2L. She has an IV 0.9 normal
saline, 125 an hour. Chest x-ray upon admission showed right middle lobe
pneumonia. Vital signs are BP: 128/86, P: 105, R: 32, T: 99.8 F, 37.7 C, SaO2:
93%. Plan of care is antibiotic therapy, incentive spirometry, O2
supplementation, and pending labs and blood cultures from the ER. Patient
is receiving Rocephin and received Zithromax in the ER. Patient does have a
history of Granulomatosis with Polyangiitis but has been stable for 5 years
w/o treatment. She is widowed and came to us from the retirement
community. She has one daughter who is on her way from out of state; she
will be arriving sometime today. Patient states she is allergic to mangos.
Answer:
Gas exchange
Infection
Sensory perception (visually impaired)
, Question:
Charlie Raymond Room 305
Charlie Raymond, 65-year-old male who was admitted to a negative pressure
room on Med-Surg for COVID precautions. He has a history of COPD,
hypertension, diabetes type II, and a recent myocardial infarction. He is a
retired postal worker who lives at home with his wife. He is on Claforan
(cefotaxime) 2 g IV BID hr and sliding scale insulin. Initially this cardiologist
was concerned about congestive heart failure and Mr. Raymond is receiving
Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Vital Signs:
BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature 100.2
SaO2 94% on 2L nasal cannula. The patient/family is fearing the worst due to
COVID-19 Pandemic.
Answer:
Gas exchange
Infection
Perfusion
Metabolism (diabetes)
Question:
Dotty Hamilton Scenario 1
Mrs. Hamilton is excited about her surgery. During the admission process,
you ask the patient if she has an advance directive; she answers yes.
Answer:
Ask for a copy of the advance directive
Ask the patient when the advance directive was last updated
